Organization
CAROLINA COASTAL FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KELLY WHITE SR. M.D. (OWNER)
(843) 626-2847
Entity
Organization
Contact information
Practice address
1275 21ST AVE N, BUILDING 2, MYRTLE BEACH, SC 29577-7429
(843) 626-2847
(843) 626-9206
Mailing address
1275 21ST AVE N, BUILDING 2, MYRTLE BEACH, SC 29577-7429
(843) 626-2847
(843) 626-9206
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22830
SC
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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